Ovid Technologies (Wolters Kluwer Health)

Stroke

, volume 52 , issue 5 , pages 1778-1787

Predictors of Poststroke Aphasia Recovery

Myzoon Ali ¹

Kathryn VandenBerg ¹

Linda J. Williams ²

Louise R. Williams ¹

Masahiro Abo ³

Frank Becker ⁴

Audrey Bowen ⁵

Caitlin Brandenburg ⁶

Caterina Breitenstein ⁷

Stefanie Bruehl ⁸

David A. Copland ⁶

Tamara B. Cranfill ⁹

Marie di Pietro-Bachmann ¹⁰

Pamela Enderby ¹¹

Joanne Fillingham ¹²

Federica Lucia Galli ¹³

Marialuisa Gandolfi ¹⁴

Bertrand Glize ¹⁵

Erin Godecke ¹⁶

Neil Hawkins ¹⁷

Katerina Hilari ¹⁸

Jacqueline Hinckley ¹⁹

Simon Horton ²⁰

David Howard ²¹

Petra Jaecks ²²

Elizabeth Jefferies ²³

Luis M.T. Jesus ²⁴

Maria Kambanaros ²⁵

Eun Kyoung Kang ²⁶

Eman M. Khedr ²⁷

Anthony Pak-Hin Kong ²⁸

Tarja Kukkonen ²⁹

Marina Laganaro ³⁰

Matthew A. Lambon Ralph ³¹

Ann Charlotte Laska ³²

Béatrice Leemann ³³

Alexander P. Leff ³⁴

Roxele R. Lima ³⁵

Antje Lorenz ³⁶

Brian Mac Whinney ³⁷

Rebecca Shisler Marshall ³⁸

Flavia Mattioli ³⁹

İlknur Maviş ⁴⁰

Marcus Meinzer ⁴¹

Reza Nilipour ⁴²

Enrique Noé ⁴³

Nam-Jong Paik ⁴⁴

Rebecca Palmer ¹¹

Ilias Papathanasiou ⁴⁵

Brigida F Patricio ⁴⁶

Isabel Pavão Martins ⁴⁷

Cathy Price ⁴⁸

Tatjana Prizl Jakovac ⁴⁹

Elizabeth Rochon ⁵⁰

Miranda L Rose ⁵¹

Charlotte Rosso ⁵²

Ilona Rubi-Fessen ⁵³

Marina B. Ruiter ⁵⁴

Claerwen Snell ⁵⁵

Benjamin Stahl ⁵⁶

Jerzy P. Szaflarski ⁵⁷

Shirley A. Thomas ⁵⁸

Mieke van de Sandt-Koenderman ⁵⁹

Ineke van der Meulen ⁵⁹

Evy Visch-Brink ⁶⁰

Linda Worrall ⁶

Heather Harris Wright ⁶¹

Marian C. Brady ⁶²

Hide authors affiliations Show authors affiliations: 62 affiliations

Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK |

Usher institute, University of Edinburgh, Edinburgh, UK |

Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan |

⁴

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway, & Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway |

⁵

Division of Neuroscience and Psychology, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK

University of Manchester

Manchester Academic Health Science Centre

⁶

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia |

⁷

Department of Neurology With Institute of Translational Neurology, University of Münster, Münster, Germany |

⁸

St Mauritius Rehabilitation Centre, Meerbusch, Germany; Clinical and Cognitive Neurosciences, Department of Neurology, Medical Faculty, RWTH Aachen University, Aachen, Germany; and Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK |

⁹

Special Education, Eastern Kentucky University, Richmond, KY |

¹⁰

Division of Neurorehabilitation, Department of Clinical Neurosciences, University Hospitals and University of Geneva, Geneva, Switzerland |

¹¹

School of Health and Related Research [ScHARR], University of Sheffield, Sheffield, UK |

¹²

Nursing Directorate, NHS Improvement, London, UK |

¹³

Neurorehabilitation Clinic, Neurological Sciences Department, Marche Polytechnic University, Ospedali Riuniti di Ancona, Ancona, Italy |

¹⁴

Department of Neuroscience, Biomedicine and Movement Sciences, University Of Verona, Verona, Italy |

¹⁵

Handicap Activity Cognition Health, University of Bordeaux, Bordeaux, France, & Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire [CHU] de Bordeaux, Bordeaux, France |

¹⁶

School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia |

¹⁷

Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK |

¹⁸

Division of Language and Communication Science, City, University of London, London, UK |

¹⁹

NOVA Southeastern University, Fort Lauderdale, FL |

²⁰

School of Health Sciences, University of East Anglia, Norwich, UK |

²¹

School of Education Communication and Language Sciences, Newcastle University, Newcastle upon Tyne, UK |

²²

Faculty of Linguistics and Literary Studies, Bielefeld University, Bielefeld, Germany |

²³

Department of Psychology, University of York, York, UK |

²⁴

School of Health Sciences [ESSUA] and Institute of Electronics and Informatics Engineering of Aveiro [IEETA], University of Aveiro, Aveiro, Portugal |

²⁵

Department of Rehabilitation Sciences, Cyprus University of Technology, Limassol, Cyprus |

²⁶

Department of Rehabilitation Medicine, Kangwon National University Hospital, Gangwon-do, Republic of Korea |

²⁷

Department of Neurology, Assiut University Hospital, Assiut, Egypt |

²⁸

School of Communication Sciences and Disorders, University of Central Florida, Orlando, FL |

²⁹

Ear, Nose and Throat [ENT]/Department of Phoniatry, Tampere University Hospital, Tampere, Finland |

³⁰

Faculty of Psychology and Educational Science, University of Geneva, Geneva, Switzerland |

³¹

Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK |

³²

Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden |

³³

Neurorééducation, Département Des Neurosciences Cliniques, Hôpitaux Universitaires De Genève, Geneva, Switzerland |

³⁴

Department of Brain Repair and Rehabilitation, Institute of Neurology, University College London, London, UK |

³⁵

Department of Speech Language Pathology, Educational Association Bom Jesus – IELUSC, Santa Catarina, Brazil |

³⁶

Institut für Psychologie, Humboldt University Berlin, Berlin, Germany |

³⁷

Department of Psychology, Carnegie Mellon University, Pittsburgh, PA |

³⁸

Department of Communication Sciences and Special Education, University of Georgia, Athens, GA |

³⁹

Neuropsychology Unit, Azienda Socio Sanitaria Territoriale [ASST] Spedali Civili of Brescia, Brescia, Italy |

⁴⁰

Department of Speech and Language Therapy, Anadolu University, Eskişehir, Turkey |

⁴¹

UQ Centre for Clinical Research, The University of Queensland, Brisbane, QLD, Australia |

⁴²

Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran |

⁴³

NEURORHB-Hospitales Vithas, Valencia, Spain |

⁴⁴

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea |

⁴⁵

Department of Speech and Language Therapy, Technological Educational Institute of Western Greece, Patras, Greece |

⁴⁶

Speech Therapy Department of Health School of Polytechnic Institute of Porto, Porto, Portugal |

⁴⁷

Laboratório De Estudos De Linguagem, Faculdade De Medicina De Lisboa, Universidade De Lisboa, Lisbon, Portugal |

⁴⁸

Wellcome Centre for Human Neuroimaging, University College London, London, UK |

⁴⁹

Department of Speech and Language Pathology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia |

⁵⁰

Department of Speech–Language Pathology and Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada & Toronto Rehabilitation Institute, Toronto, ON, Canada

University of Toronto

Toronto Rehabilitation Institute

⁵¹

School of Allied Health, La Trobe University, Melbourne, VIC, Australia |

⁵²

Institut du Cerveau et del la Moelle épinière, Sorbonne University, Paris, France & APHP, Urgences Cérébro- Vasculaires, Hôpital de la Pitié Salpêtrière, Paris, France |

⁵³

RehaNova Rehabilitation Hospital and Department of Special Education and Rehabilitation, University of Cologne, Cologne, Germany |

⁵⁴

Sint Maartenskliniek, Rehabilitation Centre and Centre for Language Studies, Radboud University, Nijmegen, The Netherlands

Radboud University Nijmegen

Sint Maartenskliniek

⁵⁵

Warrington Hospital, Warrington and Halton NHS Foundation Trust, Warrington, UK |

⁵⁶

Department of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany |

⁵⁷

UAB Epilepsy Centre, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL |

⁵⁸

Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham, UK |

⁵⁹

Rijndam Rehabilitation, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands |

⁶⁰

Department of Neurology and Neurosurgery, Erasmus University Medical Center, Rotterdam, the Netherlands |

⁶¹

College of Allied Health Sciences, North Carolina University, Greenville, SC |

⁶²

Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian Un University, Glasgow, UK |

Publication type: Journal Article

Publication date: 2021-03-15

Ovid Technologies (Wolters Kluwer Health)

Stroke

scimago Q1

wos Q1

SJR: 2.659

CiteScore: 13.0

Impact factor: 8.9

ISSN: 00392499, 15244628

DOI: 10.1161/STROKEAHA.120.031162

Copy DOI

PubMed ID: 33719515

Cardiology and Cardiovascular Medicine

Neurology (clinical)

Advanced and Specialized Nursing

Abstract

Background and Purpose:

The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset.

Methods:

Individual participant data meta-analysis of systematically sourced aphasia datasets described overall-language ability using the Western Aphasia Battery Aphasia-Quotient; auditory comprehension by Aachen Aphasia Test (AAT) Token Test; naming by Boston Naming Test and functional-communication by AAT Spontaneous-Speech Communication subscale. Multivariable analyses regressed absolute score-changes from baseline across language domains onto covariates identified a priori in randomized controlled trials and all study types. Change-from-baseline scores were presented as estimates of means and 95% CIs. Heterogeneity was described using relative variance. Risk of bias was considered at dataset and meta-analysis level.

Results:

Assessments at baseline (median=43.6 weeks poststroke; interquartile range [4–165.1]) and first-follow-up (median=10 weeks from baseline; interquartile range [3–26]) were available for n=943 on overall-language ability, n=1056 on auditory comprehension, n=791 on naming and n=974 on functional-communication. Younger age (<55 years, +15.4 Western Aphasia Battery Aphasia-Quotient points [CI, 10.0–20.9], +6.1 correct on AAT Token Test [CI, 3.2–8.9]; +9.3 Boston Naming Test points [CI, 4.7–13.9]; +0.8 AAT Spontaneous-Speech Communication subscale points [CI, 0.5–1.0]) and enrollment <1 month post-onset (+19.1 Western Aphasia Battery Aphasia-Quotient points [CI, 13.9–24.4]; +5.3 correct on AAT Token Test [CI, 1.7–8.8]; +11.1 Boston Naming Test points [CI, 5.7–16.5]; and +1.1 AAT Spontaneous-Speech Communication subscale point [CI, 0.7–1.4]) conferred the greatest absolute change-from-baseline across each language domain. Improvements in language scores from baseline diminished with increasing age and aphasia chronicity. Data exhibited no significant statistical heterogeneity. Risk-of-bias was low to moderate-low.

Conclusions:

Earlier intervention for poststroke aphasia was crucial to maximize language recovery across a range of language domains, although recovery continued to be observed to a lesser extent beyond 6 months poststroke.

Found

3 citations

Price Cathy

15 publications, 273 citations, 14 reviews

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GOST |

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GOST Copy

Ali M. et al. Predictors of Poststroke Aphasia Recovery // Stroke. 2021. Vol. 52. No. 5. pp. 1778-1787.

GOST all authors (up to 50) Copy

Ali M. et al. Predictors of Poststroke Aphasia Recovery // Stroke. 2021. Vol. 52. No. 5. pp. 1778-1787.

RIS |

Cite this

RIS Copy

TY - JOUR

DO - 10.1161/STROKEAHA.120.031162

UR - https://doi.org/10.1161/STROKEAHA.120.031162

TI - Predictors of Poststroke Aphasia Recovery

T2 - Stroke

AU - Ali, Myzoon

AU - VandenBerg, Kathryn

AU - Williams, Linda J.

AU - Williams, Louise R.

AU - Abo, Masahiro

AU - Becker, Frank

AU - Bowen, Audrey

AU - Brandenburg, Caitlin

AU - Breitenstein, Caterina

AU - Bruehl, Stefanie

AU - Copland, David A.

AU - Cranfill, Tamara B.

AU - Pietro-Bachmann, Marie di

AU - Enderby, Pamela

AU - Fillingham, Joanne

AU - Lucia Galli, Federica

AU - Gandolfi, Marialuisa

AU - Glize, Bertrand

AU - Godecke, Erin

AU - Hawkins, Neil

AU - Hilari, Katerina

AU - Hinckley, Jacqueline

AU - Horton, Simon

AU - Howard, David

AU - Jaecks, Petra

AU - Jefferies, Elizabeth

AU - Jesus, Luis M.T.

AU - Kambanaros, Maria

AU - Kyoung Kang, Eun

AU - Khedr, Eman M.

AU - Pak-Hin Kong, Anthony

AU - Kukkonen, Tarja

AU - Laganaro, Marina

AU - Lambon Ralph, Matthew A.

AU - Charlotte Laska, Ann

AU - Leemann, Béatrice

AU - Leff, Alexander P.

AU - Lima, Roxele R.

AU - Lorenz, Antje

AU - Mac Whinney, Brian

AU - Shisler Marshall, Rebecca

AU - Mattioli, Flavia

AU - Maviş, İlknur

AU - Meinzer, Marcus

AU - Nilipour, Reza

AU - Noé, Enrique

AU - Paik, Nam-Jong

AU - Palmer, Rebecca

AU - Papathanasiou, Ilias

AU - Patricio, Brigida F

AU - Pavão Martins, Isabel

AU - Price, Cathy

AU - Prizl Jakovac, Tatjana

AU - Rochon, Elizabeth

AU - Rose, Miranda L

AU - Rosso, Charlotte

AU - Rubi-Fessen, Ilona

AU - Ruiter, Marina B.

AU - Snell, Claerwen

AU - Stahl, Benjamin

AU - Szaflarski, Jerzy P.

AU - Thomas, Shirley A.

AU - van de Sandt-Koenderman, Mieke

AU - van der Meulen, Ineke

AU - Visch-Brink, Evy

AU - Worrall, Linda

AU - Harris Wright, Heather

AU - Brady, Marian C.

PY - 2021

DA - 2021/03/15

PB - Ovid Technologies (Wolters Kluwer Health)

SP - 1778-1787

IS - 5

VL - 52

PMID - 33719515

SN - 0039-2499

SN - 1524-4628

ER -

BibTex |

Cite this

BibTex (up to 50 authors) Copy

@article{2021_Ali,

author = {Myzoon Ali and Kathryn VandenBerg and Linda J. Williams and Louise R. Williams and Masahiro Abo and Frank Becker and Audrey Bowen and Caitlin Brandenburg and Caterina Breitenstein and Stefanie Bruehl and David A. Copland and Tamara B. Cranfill and Marie di Pietro-Bachmann and Pamela Enderby and Joanne Fillingham and Federica Lucia Galli and Marialuisa Gandolfi and Bertrand Glize and Erin Godecke and Neil Hawkins and Katerina Hilari and Jacqueline Hinckley and Simon Horton and David Howard and Petra Jaecks and Elizabeth Jefferies and Luis M.T. Jesus and Maria Kambanaros and Eun Kyoung Kang and Eman M. Khedr and Anthony Pak-Hin Kong and Tarja Kukkonen and Marina Laganaro and Matthew A. Lambon Ralph and Ann Charlotte Laska and Béatrice Leemann and Alexander P. Leff and Roxele R. Lima and Antje Lorenz and Brian Mac Whinney and Rebecca Shisler Marshall and Flavia Mattioli and İlknur Maviş and Marcus Meinzer and Reza Nilipour and Enrique Noé and Nam-Jong Paik and Rebecca Palmer and Ilias Papathanasiou and Brigida F Patricio and others},

title = {Predictors of Poststroke Aphasia Recovery},

journal = {Stroke},

year = {2021},

volume = {52},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

month = {mar},

url = {https://doi.org/10.1161/STROKEAHA.120.031162},

number = {5},

pages = {1778--1787},

doi = {10.1161/STROKEAHA.120.031162}

}

MLA

Cite this

MLA Copy

Ali, Myzoon, et al. “Predictors of Poststroke Aphasia Recovery.” Stroke, vol. 52, no. 5, Mar. 2021, pp. 1778-1787. https://doi.org/10.1161/STROKEAHA.120.031162.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Journal

Stroke

scimago Q1

wos Q1

SJR

2.659

CiteScore

13.0

Impact factor

8.9

ISSN

00392499 (Print)

15244628 (Electronic)